GIFT AID DECLARATION
Name of Charity: Western Chan Fellowship
Registered Charity No: 1068637
Title: Mr/Mrs/Miss/Ms: ......................

Forename(s):................................................

Surname:......................................................

Address:...................................................................

.................................................................................

................................................................ Postcode:...................................

I wish the above charity to treat as Gift Aid donations:

• the enclosed donation of: £ ..........

• and all donations I make from the date of this declaration, until I notify the charity otherwise (delete as required)

 

Signature: ................................... Date: ........... / ............ 2 ...........

Note: If your declaration is to cover donations you may make in the future:

  • please notify the charity if you change your name or address while the declaration is still in force.
  • you can cancel the declaration at any time by notifying the charity - it will then not apply to donations you make on or after the date of cancellation or such later date as you specify.
  • you must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year.
  • if in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration.
  • if you pay tax at the higher rate you can claim further tax relief in your Self Assessment Tax Return.
  • if you are unsure whether your donations quality for Gift Aid tax relief, ask the charity, or you can ask your local tax office for leaflet IR113 Gift Aid.
Please return the completed declaration to our treasurer.
The form may be printed out or you may write out the details from the white Gift Aid Declaration above.